Under the WHO Framework Convention on Tobacco Control (FCTC), there are two major strategies to control tobacco use: price control (taxes/prices) and non-price control (smoke-free public places, health warnings etc.). The primary focus of this proposal is to apply economic analysis to address tobacco taxation issues and build the evidence base for price control policies in China and Tanzania. A secondary focus is to conduct evaluation of a non-price control policy in China, which has promulgated regulations for smoke-free indoor public places in May 2011. Our research team has made progress in China under the current grant on the economic analysis of the demand and supply of tobacco products and recommendations on the justification of raising additional tobacco tax. However, analysis of the impact of a tax adjustment instituted in 2009 showed that there are many hurdles to effective use of this price control measure. This competing renewal grant proposes to do follow-up tax policy related analysis to address these hurdles. A pilot experiment for a specific excise tax increase is also proposed, as well as a study of the impact of tobacco-related diseases on government rural healthcare expenditure. The proposal also includes an evaluation of a non-price measure, the 2011 regulation on smoke-free indoor public places, to assess the community's knowledge of health risks and support for such regulations. Through professional contact, our research team was approached by the University of Dar-es-Salaam in Tanzania to extend our research experiences and capacity building from China to Tanzania: the demand and supply of tobacco products in order to provide the justification for the Tanzania government to implement tobacco control. If funded, work by our research team in Tanzania will be ground-breaking and will build the foundation of tobacco control research in that country. This competing renewal has the following goals: 1) Continue Chinese tobacco control research in four areas: monitor and evaluate the 2009 tobacco tax adjustment;develop a pilot tobacco tax experiment;study the impact of smoking on government rural health care expenditures;and evaluate the impact of the May 2011 smoke-free public places regulation. 2) Develop Tanzania tobacco control research in three areas: the economic cost of smoking;demand analysis for cigarettes to simulate the impact of tax on consumption and government revenue;and to study the economic return of tobacco farming. 3) Capacity building for tobacco control researchers in China and Tanzania. 4) Engage policymakers in both countries through policy working groups and conferences. The consortium of institutions conducting these studies includes China's Sichuan University, the State Administration of Taxation, and China Centers for Disease Control and the Chinese Association on Tobacco Control, as well as Tanzania's University of Dar-es-Salaam and the Tanzania Tobacco Control Forum.

Public Health Relevance

This proposed research is relevant to the missions of the National Institutes of Health, Fogarty International Center because it aims to engage in tobacco control research and capacity building to prevent and control smoking-related illnesses. It is anticipated that this research program will improve population health in China and Tanzania.

National Institute of Health (NIH)
Fogarty International Center (FIC)
Research Project (R01)
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Special Emphasis Panel (ZCA1)
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Said, Maria
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Yao, Tingting; Jiang, Nan; Grana, Rachel et al. (2016) A content analysis of electronic cigarette manufacturer websites in China. Tob Control 25:188-94
Yang, Lian; Tong, Elisa K; Mao, Zhengzhong et al. (2016) A Clustered Randomized Controlled Trial to Reduce Secondhand Smoke Exposure Among Nonsmoking Pregnant Women in Sichuan Province, China. Nicotine Tob Res 18:1163-70
Kidane, Asmerom; Mduma, John; Naho, Alexis et al. (2015) Impact of Smoking on Food Expenditure among Tanzanian Households. Afr Stat J 18:69-78
Hu, Teh-wei; Lee, Anita H (2015) Tobacco control and tobacco farming in African countries. J Public Health Policy 36:41-51
Yao, Tingting; Sung, Hai-Yen; Mao, Zhengzhong et al. (2015) The healthcare costs of secondhand smoke exposure in rural China. Tob Control 24:e221-6
Kidane, Asmerom; Mduma, John; Naho, Alexis et al. (2015) Impact of Smoking on Nutrition and the Food Poverty Level in Tanzania. J Poverty Alleviation Int Dev 6:131-149
Kidane, Asmerom; Hepelwa, Aloyce; Ngeh, Ernest Tingum et al. (2015) Healthcare Cost of Smoking Induced Cardiovascular Disease in Tanzania. J Health Sci (El Monte) 3:117-122
Li, Jing; White, Justin S; Hu, Teh-Wei et al. (2015) The heterogeneous effects of cigarette prices on brand choice in China: implications for tobacco control policy. Tob Control 24 Suppl 3:iii25-iii32
Yao, Tingting; Huang, Jidong; Sung, Hai-Yen et al. (2015) Determinants of smoking-induced deprivation in China. Tob Control 24 Suppl 4:iv35-iv39
Kidane, Asmerom; Ngeh, Ernest Timgum (2015) A comparative analysis of technical efficiency of smallholder tobacco and maize farmers in Tabora, Tanzania. J Dev Agric Econ 7:72-79

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